About the Journal
ISSN - 0973-0958
ISSN - 0973-0958
About the Journal
| Volume :
Review of life expectancy in children with cerebral palsy: Should we preserve life in severely disabled children?
Presented in National Undergraduate Paediatric Conference 2014, March 8-9th, 2014, Glasgow, UK
Yusra Al-Talib, Andrew Curran
Alder Hey Children`s Hospital, University of Liverpool, UK
Cerebral palsy (CP) is a leading cause of childhood disability in the UK affecting posture, movement and function. Patients with CP have variable life expectancies depending on the severity of the disorder. The preservation of life in these patients has for long been a matter of debate with some even arguing strongly against it. However, a patient’s quality of life may be determined by the level of attention and care provided as opposed to the level of physical impairment caused by CP.
Aim: This literature review aims to determine mortality predictors and life expectancy in CP with a secondary outcome of establishing arguments for the preservation of life in severe forms of childhood CP.
Methods: Key terms were used to search Ovid Medline and PubMed. Limitations included English language and papers published within the last 20 years, and relevant papers were hand-picked.
Results: An overall 20-year survival of 89% (95% CI 87-90%) was found in all forms of non-post-neonatal CP. Significant mortality predictors included poor independent ambulation, severe intellectual impairment and inability to feed which are consistent with severe CP. A 3.4% fall in annual mortality was also noted in severe forms of CP compared to 1% in milder forms.
Conclusion: Severity of disability appears to be the primary determinant of survival in children with CP. Preservation of life in these patients can be justified by the lower mortality rates recently observed in severe forms of CP which may be attributable to the provision of greater care and improved quality of life.
How to Cite URL :
Al-Talib Y, Curran A..Available From : http://www.pediatriconcall.com/Journal/Article/FullText.aspx?artid=8451&type=C&tid=0&imgid=0&reportid=807&tbltype=
Find Articles in same issue
Find Articles under same category
What is the diagnosis_?
A 12 months-old boy presented with vomiting, diarrhoea and carpopedal spasm. He was exclusively breast-fed till 6 months of age and was on full diet now. On examination, he had fronto-parietal bossing. There were no other signs of rickets. Other sys...
How common is carpopedal spasm in vitamin D deficient infant...
App Store | Google Play
Reviewers & Experts Panel
Want to Become a Reviewer
Advertisements by :
Septilin by Himalaya
Mega-CV by Aristo
Pediatric Oncall Home
Conferences & CME Center
Diseases & Conditions
Drugs & Poisoning Center
Question of the Day
Diet & Diseases
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
This work is licensed under a
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Don’t have an Account? Register Now!